Dr. Changrae Kim
Foot & Ankle Surgery
6508 Grand Ave
Maspeth
, New York 11378-2423
Dr. Changrae Kim
Foot & Ankle Surgery
6508 Grand Ave
Maspeth
, New York 11378-2423
(917) 359-3937
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About
Features
Specialties
- Foot & Ankle Surgery
Languages spoken
- English
Location
First Address
- Dr. Changrae Kim
- 2 Bay Club Dr Apt 5x
- Bayside, NY
- Zip : 11360-2921
- Phone : (917) 359-3937
Second Address
- Dr. Changrae Kim
- 6508 Grand Ave
- Maspeth, NY
- Zip : 11378-2423
- Phone : (917) 359-3937
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213ES0103X | Foot & Ankle Surgery | 006653 | NY |
National Provider Identifier
| NPI | 1083022149 |
|---|---|
| Provider Name | Dr. Changrae Kim |
| First Address | Bayside, NY 11360-2921 |
| Second Address | Maspeth, NY 11378-2423 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/07/2014 |
| Last Update Date | 31/08/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.